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<title>TMPO - Request Transportation</title>
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   <form id="form248" method="put" action="">
     <table class="form" summary="Request for Motor Transportation - USARAK Form 248">
       <caption>
         Request for Government Vehicle Support
       </caption>
       <colgroup>
       <col id="f248Col1" />
       <col id="f248Col2" />
       <col id="f248Col3" />
       <col id="f248Col4" />
       </colgroup>
       <thead>
         <tr>
           <th colspan="4"><h4>Contact Information</h4></th>
         </tr>
       </thead>
       <tfoot>
         <tr>
           <td colspan="4"><span class="button" name="button_cancel" id="button_cancel"  ><img alt="" src="/tmpo/images/icons/close.gif"/>Cancel</span><span class="button" name="button_submit" id="button_submit"><img alt="" src="/tmpo/images/icons/submit.gif"/>Submit Request</span></td>
         </tr>
       </tfoot>       
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           <td>&nbsp;</td>
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       <tbody>
         
         <tr>
           <td align="right"><span class="required"></span>
             <label for="reqBy">Requesting Unit:</label></td>
           <td><input name="reqBy" type="text" size="30" id="reqBy" /></td>
           <td align="right">&nbsp;</td>
           <td>&nbsp;</td>
         </tr>
         <tr>
           <td align="right"><span class="required"></span>
             <label for="transCoord">POC Name:</label></td>
           <td><input name="transCoord" type="text" size="30" id="transCoord" /></td>
           <td align="right">
             <label for="tel2Area">Rank/Grade:</label></td>
           <td><select name="rank" id="rank">
             <option value="CIV">Civilian</option>
             <option value="AB">AB</option>
             <option value="Amn">Amn</option>
             <option value="A1C">A1C</option>
             <option value="SrA">SrA</option>
             <option value="SSgt">SSgt</option>
             <option value="TSgt">TSgt</option>
             <option value="MSgt">MSgt</option>
             <option value="SMSgt">SMSgt</option>
             <option value="CMSgt">CMSgt</option>
             <option value="CCM">CCM</option>
             <option value="2LT">2LT</option>
             <option value="1LT">1LT</option>
             <option value="CPT">CPT</option>
             <option value="MAJ">MAJ</option>
             <option value="LTC">LTC</option>
             <option value="COL">COL</option>
             <option value="BG">BG</option>
             <option value="MG">MG</option>
             <option value="LTG">LTG</option>
             <option value="GEN">GEN</option>
           </select>           </td>
         </tr>
         <tr>
           <td align="right"><label for="requestingOrg">Duty Telephone No.:</label></td>
           <td><input name="requestingOrg" type="text" size="30" id="requestingOrg" /></td>
           <td align="right"><span class="required"></span>
             <label for="tel3Area">Email Address:</label></td>
           <td><input name="tel3Area" type="text" size="30" id="tel3Area" /></td>
         </tr>
        
         <tr>
           <th colspan="4">&nbsp;</th>
         </tr>
         <tr class="tableHeadColor" style="text-align:center">
           <td colspan="4" ><h4>Transportation Request Details</h4></td>
         </tr>
         <tr>
         
        
         <td align="right"><label>Service Requested:</label></td>
         <td><select name="serviceRequested" size="5" multiple="multiple">
           <option value="airport">Airport Service</option>
           <option value="bus">Bus Support</option>
           <option value="forklift">Forklift Support</option>
           <option value="tractorTrailer">Tractor-Trailer Support</option>
           <option value="uDriveIt">U-Drive-It</option>
           <option value="wrecker">Wrecker Support</option>
           <option value="other">Other</option>
         </select>
         <h6>Ctrl+click to select multiple services.</h6> </td>
         <td align="right"><label for="requireVehicleType">Type Vehicles Required:</label> </td>
           <td><select name="select2" size="5" multiple="multiple" id="select2">
             <option value="bus">Bus</option>
             <option value="van">Van</option>
             <option value="tractor">Tractor</option>
             <option value="trailer">Trailer</option>
             <option value="forklift">Forklift</option>
             <option value="wrecker">Wrecker</option>
           </select>
           <h6>Ctrl+click to select multiple services.</h6>            </td>
         </tr>
         <tr>
           <td colspan="4"><hr /></td>
         </tr>
         <tr>
          <td align="right"><label for="dateWanted">Date(s) Required:</label></td>
          <td><input name="dateWanted" type="text" size="20" id="dateWanted" />
               <h6>DD MMM YYYY</h6></td>
          <td align="right"></td>
          <td></td>
         </tr>
         <tr>
           <td align="right"><label for="timeWanted">Pickup Time
             :</label></td>
           <td><input name="timeWanted" type="text" size="7" id="timeWanted" />
               <h6>0000</h6></td>
           <td align="right"><label for="timeReturn">Pickup Location:</label></td>
           <td><input name="timeReturn" type="text" size="7" id="timeReturn" /></td>
         </tr>
          <tr>
           <td align="right"><label for="timeReturn">Return Time:</label></td>
           <td><input name="timeReturn" type="text" size="7" id="timeReturn" />
               <h6>0000</h6></td>
           <td align="right"><label for="timeReturn">Destination:</label></td>
           <td><input name="timeReturn" type="text" size="7" id="timeReturn" /></td>
          </tr>
          <tr>
           <td colspan="4"><hr /></td>
         </tr>
         <tr>
           <td align="right"><label for="driverName">Name of Driver:</label></td>
           <td><input type="text" name="driverName" id="driverName" /><h6>Provide name of Driver, if Available.</h6></td>
           <td align="right"><label for="paxCount">Passenger Count:</label></td>
           <td><input type="text" name="paxCount" id="paxCount" /><h6>Estimate number of Passengers transported.</h6></td>
         </tr>
         
         
          <tr>
           <td align="right"><label for="cargoWeight">Cargo Weight:</label></td>
           <td><input type="text" name="cargoWeight" id="cargoWeight" /><h6>Estimate weight of cargo in pounds.</h6></td>
           <td align="right"><label for="cargoType">Cargo Description:</label></td>
           <td><input type="text" name="cargoType" id="cargoType" /><h6>Give estimated length, width, height of cargo.</h6></td>
         </tr>
        <tr><td colspan="4">&nbsp;</td></tr>
        
         <tr >
           <td colspan="4" align="center" class="tableHeadColor"><h4>Submit Request</h4></td>
         </tr>
         <tr>
         <td align="right"><label for="PODradio">Request to Exceed POD:</label></td>
         <td  colspan="3"><input type="radio" name="PODradio" id="PODradio_true" /> Yes  <input type="radio" name="PODradio" id="PODradio_false" /> No</td>
         </tr>
         <tr>
         <td align="right"><label for="PODRequestSent" style="color:#999999">Request sent to <br />Chief Dispatcher:</label></td>
         <td colspan="3"><input disabled="true" type="radio" name="PODRequestSent" id="PODRequestSent_true" /> <span style="color:#999999;">Yes</span>  <input disabled="true" type="radio" name="PODRequestSent" id="PODRequestSent_false" /> <span style="color:#999999;">No</span></td>
         </tr>
         
         <tr >
           <td colspan="4" align="right"><hr /></td>
         </tr>
          <tr>
           <td align="right"><label for="requestPurpose">Purpose of Request:</label></td>
           <td colspan="3"><input name="requestPurpose" type="text" size="60" id="requestPurpose" />
           <h6>Provide specific description of purpose.</h6></td>
         </tr>
         <tr>  
           <td align="right"><label for="specialInstructions">Special Instructions:</label></td>
           <td colspan="3"><input name="specialInstructions" type="text" size="60" id="specialInstructions" />
           <h6>Pintle hook, deployment name, etc.</h6></td>
         </tr>
         <tr>
           <td align="right"><label for="comments">Additional Comments:</label></td>
           <td colspan="3"><textarea name="comments" cols="60" rows="3" id="comments"></textarea></td>
         </tr>
         <tr >
           <td colspan="4">&nbsp;</td>
         </tr>
         
       </tbody>
     </table>
     </form>

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  <div class="centerBox supplementalContent contrastingColor4"><span class="POCemail">POC: <a href="mailto:jacqueline.runkel@us.army.mil">Jackie Runkel</a> Phone: (907) 384-7196</span></div>
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